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(B) Daughter's vesicles were seen.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Yener Aydin, Hayri Ogul, Atilla Eroglu" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Yener" "apellidos" => "Aydin" ] 1 => array:2 [ "nombre" => "Hayri" "apellidos" => "Ogul" ] 2 => array:2 [ "nombre" => "Atilla" "apellidos" => "Eroglu" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0300289619300080" "doi" => "10.1016/j.arbres.2018.12.010" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619300080?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919303611?idApp=UINPBA00003Z" "url" => "/15792129/0000005500000012/v2_201912171000/S1579212919303611/v2_201912171000/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212919303635" "issn" => "15792129" "doi" => "10.1016/j.arbr.2019.02.024" "estado" => "S300" "fechaPublicacion" => "2019-12-01" "aid" => "2097" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2019;55:649" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Recurrent Left Pneumonia, is it the Right Diagnosis?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "649" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumonía izquierda recurrente ¿estamos ante el diagnóstico correcto?" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 807 "Ancho" => 900 "Tamanyo" => 109022 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography and angiography with sagittal (A) and axial (B) reconstructions showing: A (arrow) – an abnormal artery from the thoracic aorta to supply the left lower lobe of the lung; B (arrow) – the left inferior pulmonary vein receiving the drainage from the lobe defining an intralobar sequestration; C (arrow) – both the aberrant artery branch (#) and the inferior pulmonary vein (*) parallel to each other; D (arrow) – a heterogeneous density of the pulmonary parenchyma surrounded by ground glass opacity corresponding to the affected left lower lobe of the lung.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Andrea Lopes Machado, Ana Dias, Inês Faria" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Andrea" "apellidos" => "Lopes Machado" ] 1 => array:2 [ "nombre" => "Ana" "apellidos" => "Dias" ] 2 => array:2 [ "nombre" => "Inês" "apellidos" => "Faria" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0300289619300845" "doi" => "10.1016/j.arbres.2019.02.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619300845?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919303635?idApp=UINPBA00003Z" "url" => "/15792129/0000005500000012/v2_201912171000/S1579212919303635/v2_201912171000/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Mounier-Kuhn Syndrome" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "650" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Filipa Aguiar, Cecília Pacheco, Pedro Silveira" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Filipa" "apellidos" => "Aguiar" "email" => array:1 [ 0 => "f.lemos.aguiar@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Cecília" "apellidos" => "Pacheco" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Pedro" "apellidos" => "Silveira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Serviço de Pneumologia, Hospital de Braga, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidade de Cuidados Intensivos, Hospital de Braga, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de Mounier-Kuhn" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1010 "Ancho" => 2925 "Tamanyo" => 302031 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography showing dilated trachea (large arrows), bronchiectasis (arrowheads); tracheal diverticula (thin arrows).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 40-year old never-smoker, caucasian male, with no relevant past medical history and normal respiratory function tests, was observed due to the persistence of fever, cough, and sputum despite being treated with antibiotics for 5 days. A computed tomography was performed, which revealed a dilated trachea (26.2<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>28.5<span class="elsevierStyleHsp" style=""></span>cm, as coronal and sagittal diameters), tracheal diverticula and bronchiectasis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). These findings were consistent with the diagnosis of Mounier-Kuhn Syndrome.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Mounier-Kuhn Syndrome, or idiopathic tracheobronchomegaly, is a congenital disorder, first reported in 1932 by Mounier-Kuhn and is characterized by trachea and proximal bronchi enlargement. Patients are frequently diagnosed between the 5th and 6th decades of life. This syndrome has an evident male preponderance.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> Tracheal diameters superior to 25<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>27<span class="elsevierStyleHsp" style=""></span>mm in men and 21<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>23<span class="elsevierStyleHsp" style=""></span>mm in women (coronal and sagittal diameters) are the diagnostic criteria.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> Clinical presentation is usually subtle but frequently involves recurrent infections and decreased mucociliary clearance.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The cause of this condition is poorly understood, but it is thought to be related to the atrophy of elastic fibers leading to thinner smooth muscle layer resulting in tracheobronchial dilatation. Also, the presence of expiratory collapse, tracheal diverticula, and bronchiectasis is common. It can be found in association with connective tissue diseases. In this case, the patient did not show any symptom or physical abnormality to consider those diagnoses.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The treatment approach in this pathology is focused on preventing respiratory infections and optimizing mucociliary clearance.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1010 "Ancho" => 2925 "Tamanyo" => 302031 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography showing dilated trachea (large arrows), bronchiectasis (arrowheads); tracheal diverticula (thin arrows).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mounier-Kuhn Syndrome: a systematic analysis of 128 cases published within last 25 years" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "E. Krustins" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/crj.12192" "Revista" => array:6 [ "tituloSerie" => "Clin Respir J" "fecha" => "2014" "volumen" => "10" "paginaInicial" => "3" "paginaFinal" => "10" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25130790" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dimensions of the normal human trachea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E. Breatnach" 1 => "G.C. Abbott" 2 => "R.G. Fraser" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Roentgenol" "fecha" => "1984" "volumen" => "142" "paginaInicial" => "903" "paginaFinal" => "906" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005500000012/v2_201912171000/S1579212919303623/v2_201912171000/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005500000012/v2_201912171000/S1579212919303623/v2_201912171000/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919303623?idApp=UINPBA00003Z" ]
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